Laser for adenoids. Adenoid laser therapy in children

Relatively recently, but the method actively included in the sphere of intensive children's otolaryngology is referred to as laser therapy. When diagnosing adenoid dissection in adenoids in children, especially in the initial phases of the disease, ENT children's doctors consider the resulting treatment options. Then it stands on the agenda this innovative ENT technology, a laser irradiation with infrared, red light. Processing adenoid neoplasms with carbon dioxide, valorization laser (drying, as it were, evaporation) pathogenic adenoid locations.

How safe is the popular laser section, what side manifestations or contraindications are present with it? Where is the best of all to do this treatment (laser)? This is about this and a thorough conversation in the article.

Side Effects during Laser therapy: Pure Enumeration

In the history of ON / ENT Children's Medicine, there are rarely scientifically proven facts of absolutely ideal types of treatment, t e. Without the manifestation of any side effects. No matter how innovative, verified and tested by therapeutic technology, the body is still, especially growing, reacts to its invasive effect. Even if the lowest, soft, not aggressive-potent.

Equally, this also applies to an innovative format, a comprehensive treatment species - adenoid laser therapy in children. And even this wonderful healing technique has its own side effects. What kind of symptoms are observed in which manifestations is visualized externally? How is it reflected in the visceral sphere of organic systems?

1. The first and most examples, which is immediately thrown by a pilot otolaryngologist, who directly conducted a laser treatment (for example, adenotomy)? In the subsequent period of time, after the procedure of exposure to the laser (for the 1st, 2nd hours), the children are recorded in abstinent exudative, liquid expiration from the operated zone. Along with this, the body temperature rises, and significantly, in the area of \u200b\u200bthe nasopharynk sector.
2. Control inspection by the endoscope of the operating field, or the nasopharyal location, where the laser of invasion was carried out (during projection on the monitor), discovers postoperative hyperemia of adenoid bed, pastosity and looseness near the adjacent epidermis. Bleeding vessels, despite the coagulation (cavities, the laser beam) during surgery.
3. Children complain of painful sensations in this area of \u200b\u200bnasopharynx. An involuntary cough appears, "Occasion" in the throat, a feeling of burning in the area of \u200b\u200bthe nose (deep into the bridges, where adenoid neoplasms were located).
4. In the further cavictionaline (without the use of urgent drugs), aggravated by somatic painful manifestations - chills alternate with heat. Sometimes, children fall into a delusional state.
5. Extreme danger carries a rapid ethnicity of the mucous membrane, damping epidermis larynx, which can cause asphyxia, suffocation due to overlapping the upper catarrhal sectors of the larynx, respiratory tract.

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To, regret, the successful and safe treatment of adenoid patients with the help of a miraculous laser beam, it may endure very deplorable. Instead of the expected result, stop, remove adenoid pathogenic "reincarnations". Return the normal parameters of nasal adenoids, maintain these almond glands to productive, protective functionality. Children, after laser and therapy (Laseradenotomy) fall into the intensive care unit.

For whatever reason, such circumstances may occur? It will be discussed in the next section illuminating the most common mistakes of doctors, parents, which may suffer (and children suffer).

Contraindications to the laser of children who did not pay attention to adults

The obvious prohibitions include chronic acquired and congenital pathologies that are present in the body of this child. Laser therapy for adenoids in children, in the context contraindicationsit is strictly prohibited in the following destruction:

• Hemophilia - genetic blood disease (non-peculiarity);
• Tuberculosis open (closed, in the form of a tube viorations, "Tuby syndrome") form of illness;
• Diabetes;
• Hepatitis liver - "Botkin's disease" (even minor jaundice);
• The starting incubation period of infectious diseases - rubella, chickenpox, steam (pig), cortex and scarlat.

It is impossible to carry out operating actions with a laser (evaporation, cavity) if children recently moved (in severe disease flow format) Walled respirations. These include - influenza, ARVI, infectious pleurisy, pneumonia, obstructive (acute) bronchitis. During treatment, the therapists prescribed potent antibiotics, vitamins, hormonal steroids of synthetic and natural production. In the aggregate volume of all these medicinal injections in children there may be manifestations of hemophilia against the background of drug overdose.

Therefore, the postoperative field, vessels, adenoid sites are not stopped, do not bake with blood clots, which is why the blood-purulent exudate is permanently. They, in turn, provoke pasto-old hyperemia, inflammatory processes in the nasopharynknaya parenchyma. Hence the subsequent side manifestations.

Many parents have heard that modern children's visceral otolaryngology received another effective, safe option. guaranteed treatment of adenoid vegetation - causticing adenoids with a laser in children. In the narrow-profile sphere of ENT, this innovative method is valued very high! Along the way, and sometimes, and above the cryoscency with liquid nitrogen (cryosurgery).

What is this miraculous laser (the principle of operation, what types of lasers are applied)? How the laser beam is treated: the technology of operation, therapeutic treatment (how many sessions are necessary for a successful result). Where, how much is a similar procedure (the best baby hospitals, clinical centers of Russia). Whether children are shown laser treatment (age, other somatic pathologies).

Information on these issues that will be presented in the article will undoubtedly become the biggest parent audience

Excursions about the laser: types of laser equipment, their distinctive properties

This, indeed, without any exaggeration, a great treatment option - adenoid laser. The designers and manufacturers of medical equipment were created laser equipment operating on the main principle - the laser irradiation of the affected adenoid invasion of nasal and tonsillar tonsils (adenoids and laborels).

According to the technical parameters and characteristics of radiation, the laser devices are classified in 2 types:

• First Type: This low-frequency laser format (generators) - producing laser pulses (in a weak register) for valorization (easy evaporation) of initial Pato adenoid neoplasms. For a resistant stream, impulses of concentrated lights (ultraviolet, red / infrared light) are used.

The method is applied to a preventive measure for preventive prevention of adenoid fraud. But drying, as a cardinal action, designed for the complete destruction of pathogenic strains of microflora, is not effective.

• The second type is laser monochromatic emitters for a more potent effect on adenoids (2.3 degrees of the disease). Act in high-frequency mode of light radiation. This is called coagulation ( cutting adenoid laser), or manipulating with a laser knife-adenotomist. In addition to the high-frequency form of light coagulation, carbon dioxide (through a laser emitter) is widely used to reduce, pressing pathogenic adenoid foci.

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Given these innovative universal possibilities of laser equipment, otolaryngologists apply combinatorial programs of impact:

1. Preventive preventive measure;
2. Non-invasive monochromatic irradiation of adenoid Pato tumors (valorization / drying), or carbon dioxide treatment, as if "ironing, smoothes" adenoids, expanding the nasal channels for nasal breathing;
3. Invasive Format ENT Surgery (intraoperative sanitation, coagulation treatment of nasal vessels).

An explanatory is available, the first list indicates a laser treatment technique that implies at all surgical effects. But, 2 other positions concern surgical invasion, in a small or strongly penetrating method of impact.

P.. S.. (An important afterword to the types of lasers and the category of small patients they are suitable).

Laser prevention primarily recommends weakened children, (from naturee.perception of adenoviral intoxication):

• Perfectly supports adenoids in the nose in the normal sizes of the parenchyma;
• In particular, only beginning signs (nasal congestion, runny nose) ultimately attributed to laser irradiation;
• Under the course of 10 days of laser valorization (1st or 2-type equipment), a resistant and long-lasting period of healing conservative therapy is achieved, without additional attribution of drug antibiotics, corticosteroids and antihistamines.

For children who have passed a preliminary, clarifying program "Laboratory tests + instrumental endoscopic examinations", and in whiche.- Taks confirmed heavye.laaya degree, the stage of adenoidural separation in the nose adenoid - is uniquely sent to laser adenotomy.

So the children will remainoperation to remove adenoid laser 2 types. Laser adenotomy implies: invasive ON / EN surgical methodology with a mandatory intraoperative sanitation, with coagulation of vessels in the operating field.

Laser Operation Method: Guaranteed success in the combined version

Laser therapeutic complex is quite expensive equipment. Therefore, working with a laser beam, or a special adapter "laser knife-adenotomist", treat adenoid laserit is necessary to responsibly, and requires a certain qualifications from the operating ENT brigade.

Operation time: whether there is a filigree burning of adenoid sites, whether simply evaporation (valorization) depends on the severity, the state of adenoid extension. For example, lightweight "carbon dioxide" continues for 10-15 minutes. The effect of the use of laser similar impact will be visible after a 20-fold session (after 2 days of breaks).

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Of course, adenoid hyperplasia in the decomposed, extremely necrotic form will require longer work of the surgeons. But it should be noted that all operating options are anesthetized, both local anesthesia, and possibly with general anesthesia.

The most successful and guaranteed program - " Adenoids in children: laser operation » A combination of several variants is considered to be a combination. Then, when adenoids are initially driving (cut out), and then migrated to the laser beam, all the operated field, all residual adenoid mini areas that may remain. At the same time, the surgeon coagulates (stops, or as it should be placed) bleeding vessels in the operated nose-based epidermis.

Important! Very important! Laser therapy, adenotomy laser, Laser Valorization is good because they do not have, practically, age limit. Available for both very small children, and for the kindergarten age group. And, beyond doubt, adolescents, adults. Because - it is perfectly transferred, due to the fact that no painful symptoms are felt!

List of addresses of the best clinical centers of children's laser surgery

Thoughtful parents will always worry the question - as a successful and guaranteed to solve the problem of conducting such an operation (if they have the final written direction on the treatment of your child on the hand). Baby, if we consider the central regions of Russia. Because in the rural, district locality, in children's hospitals there will be hardly such laser equipment.

Note that the children's departments of all clinics and hospitals are taken after a preliminary recording and consulting inspection of arrivals of children. Applications need to make up in advance, in the telephone mode. At the same time, you specify all the questions of the organizational order - payment of the whole therapeutic period, with my mother or without it hospitalization, is there any tests (whether you need to go here, in a new one).

• In Moscow, this is a "SM Clinics Center";
• In St. Petersburg, since 1930, he holds unique ENT operations - Research Institute of ENT, his "Children's Surgical Clinic";
• In Rostov-on-Don - Clinical Center of Children's Otolaryngology "Family";
• In Krasnoyarsk - excellent reviews conquered "Medical Center Terve";
• Novosibirsk successfully operates on the basis of the latest innovative developments in Lor Surgery Medical Center - "Egimi - Siberia".

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Discover where you are removedchildren adenoid laserToday it is not difficult and unsolvable obstacle. The main thing is that parents set themselves, indeed, the vital and most important goal in soy of life - to ensure healthy and happy childhood to their children, without adenoid fraudents!

The treatment of adenoid laser in children is very popular, as it makes it possible to effectively deal with adenoid growths, even in cases where other methods do not bring results. In addition, laser gerapets have a high security profile.

Let's talk about what is laser therapy and why it is becoming increasingly popular in LOR-Practice, especially when it comes to children.

Approach to the treatment of adenoids in children

The treatment of adenoids in children can be conservative, surgical and combined. Most of the authoritative specialists, including Dr. Komarovsky, believe that the advantage should be given to conservative therapy, resorting to the removal of adenoids only in cases where it is not necessary without it. There are several reasons for this - first, the removal of adenoids does not guarantee complete recovery, since the risk of relapse remains (lymphoid tissue is almost impossible to remove completely), secondly, the nasopharynk almond, which is adenoids, is an important part of the pharyngeal lymphoid ring, whose task It is the protection of the body from an infection that falls into the airways with air. In addition, in classical adenotomy there is a risk of developing serious complications related to the injury of nasopharynx tissues.

In addition to the atraumatic, the advantages of laser treatment are anti-infectious and anti-inflammatory effect, as well as the painlessness of the impact.

An alternative to the surgical excision of adenoids with the help of adenotomes are minimally invasive methods that to a lesser extent injury fabrics. It is to such methods that include laser removal of adenoids in children. In addition to the atraumatic, the benefits of laser treatment are anti-infectious and anti-inflammatory effect, as well as the painlessness of the impact, which, according to the reviews of doctors, and ensures its high popularity.

Types of laser treatment of adenoids in children

The treatment of adenoids with a laser is the following species:

1. Removal of adenoids by the method of laser coagulation (folk name - cavity). The method makes it possible to restore nasal breathing in about 98% of cases after the first effect on adenoid tissue. Can be used at any stage of the disease.
2. Non-invasive laser therapy - implies an effect on adenoid vegetation of laser radiation, which contributes to the removal of edema, decrease in inflammation, improved blood circulation and tissue regeneration. The method is most effective at 1-2 stages of the disease, but can also be used with adenoids of 3 degrees. The method allows to significantly alleviate the patient's condition, reduce hypertrophied almond and achieve its reduction.
3. Intraoperative laser therapy (combined method) - usually applies in addition to surgical excision of nasopharynten almonds. After excision of adenoid adenoids, the wound surface is treated with a laser in order to remove the residues of nasopharynten almond, reducing bleeding and improving tissue regeneration.

According to medical reviews, the treatment of adenoids with a laser in children provides a persistent result and is well tolerated, complications occur extremely rarely. The only difficulty is to ensure the low-cost of a small child during a laser and therapy session.

Due to the long lack of breathing through the nose, the child suffers about 20% oxygen, which leads to the development of weakness, rapid fatigue, lethargy, headaches, violation of cognitive functions, sleep disorders.

The number of sessions of therapy and the duration of the procedure is determined by the attending physician, depending on the age of the child and a number of additional factors. The standard course aimed at the reduction of adenoid is 7-15 sessions.

Reviews of laser therapy with adenoids in children are the most positive. The procedure is almost painless.

After a laser treatment, a child should be limited to physical exertion, avoid long stay in stuffy and hot rooms (including discarding the bath, saunas, pool), comply with a gentle diet - it is not recommended to use too hot and cold food, sharp, sweet and salted products, solid cookies, carbonated drinks.

Indications and contraindications for the treatment of adenoids with a laser

Indications to remove adenoids with a laser or other way: a long impairment of nasal respiration, a deterioration of hearing, impairment of the bones of the facial skeleton, the lag of the child in development, the inefficiency of long-term conservative therapy.

Indexes for laser therapy are adenoid vegetation at any stage.

Contraindications to laser and therapy are: elevated body temperature, anemia, neoplasms in the field of intervention, hyper-or hypothyroidism, the pathology of the cardiovascular system, infectious diseases.

Preparation for laser and therapy

Before taking the treatment of adenoids with a laser patient, it is necessary to undergo an inspection at the otorinolaryngologist (ENT-doctor). As part of the preparation for the operation, rhinoscopy, radiographic examination, computed tomography, laboratory tests (general blood test, coagulogram) may be required.

General information about adenoids

The hypertrophy of the naso-cell almond, called adenoid vegetation or adenoids, is the most common cause of the impairment of nasal respiration. Most often, the disease is diagnosed in children of 3-7 years of age, but adults are found.

The removal of adenoids by the method of laser coagulation makes it possible to restore nasal breathing in about 98% of cases after the first effect on adenoid tissue.

The nasopharynxal almond consists of lymphoid tissue and takes part in the formation of immunity, being a protective mechanism of the first line on the path of inhaled infectious agents.

During diseases of the upper respiratory tract, for example, ORVI, nasopharynk almond increases, but subsequently returns to the initial size. Sometimes the decrease does not occur, and the tissue of almonds pathologically grows up, forming adenoids. Adenoid vegetation overlap the lumen of the nasal moves. According to this criterion, three stages (degrees) of adenoids are distinguished:

• 1 degree - overlap a third of the height of the nasal moves;
• 2 degree - overlapped about half of the height of nasal moves;
• 3 Degree - nasal moves are blocked almost completely.

Often adenoids attract attention only to 2 or 3 stages when the disruption of nasal respiration becomes pronounced.

Signs of adenoids in children

The first signs of adenoids are implicit - the children are sleeping with an open mouth, strongly snotted in a dream, periodically snoring. With the progression of snoring disease during night sleep becomes regular, respiratory disorder becomes noticeable and in wakeful state. At the third stage, the child is constantly forced to breathe mouth, because of what he is always open.

Adenoids can be inflamed - the adenoite develops. This disease is manifested by a deterioration in the general condition, an increase in the body temperature, the appearance of mucous-purulent discharge from the nose, a reflex cough caused by a dragging of the discharge on the rear wall of the nasopharynx. Unlike the adenoids themselves, adenoiditis is well amenable to therapy, but its cure does not mean deliverance from adenoid growth.

Most of the authoritative specialists, including Dr. Komarovsky, believe that the advantage should be given to conservative therapy, resorting to the removal of adenoids only in cases where it is not necessary without it.

Due to the long lack of breathing through the nose, the child suffers about 20% oxygen, which leads to the development of weakness, rapid fatigue, lethargy, headaches, violation of cognitive functions, sleep disorders. Chronic brain hypoxia can lead to a delay in mental and physical development.

If adenoids overlap the lumen of the auditory (Eustachiyeva) pipe, against the background of violation of the ventilation of the middle ear, Evstachiites are developing, otitis, irregularities.

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Most often, the disease is detected in children, at the age of 2-7 years. But adults are in the risk group. In general, adenoids are protected from various infections that can penetrate through the nose.

If the pharyngeal almonds and immunity do not work simply, then the development of inflammatory processes and edema, provoked by pathogens in the respiratory tract begins. As a result, the nasal breathing is disturbed and it becomes difficult to swallow, because almonds are hypertrophy.

What is laser therapy

Now the innovative method of therapy of inflammation of adenoid nodes is widely used using a laser. Under laser therapy, in view of the treatment method, in which affects the affected areas with weak laser radiation. It has antobacterial and antiviral qualities.

The laser is heated by soft tissues of nasopharynx and almonds, which leads to a gradual restoration of lymphoid tissue. It accelerates blood flow in lymph, reducing swelling and in nasophal adenoid.

It should be understood that by resorting to the help of only laser therapy in adenoids, it is impossible to be completely confident that this sorcement of the throat will not return. Treatment allows you to only withdraw the symptoms and swelling, but if the body will again be infection may happen relapse.

Features of Laser therapy

The efficiency of laser therapy was noticed by doctors not only in the treatment of adenoids. Recovery is noted:

• humoral immunity and protective function at the cellular level;
• organism resistance to negative external influences and infectious diseases;
• the rheology of the circulatory system and its properties to provide microcirculation;
• thrombogenic qualities;
• the oxygen transport function of the circulatory system, as well as proteolytic activity and antioxidant activity;
• metabolism;
• regulation of ripening of blood cells - hematopois;
• dNA cellular systems that contribute to the restoration of tissues at the molecular level, when the organism is defeated by radioactive elements.
• regenerative qualities of the whole organism.

Contact laser and therapy is capable of rendering anti-inflammatory, anti-allergic and disinfecting effect.

The resulting result depends on the wavelength of the rays and whether the absorbing quality of the tissues is. When the laser penetrates the affected area, there is an acceleration of the processes of recovery in adenoids as a result of energy emitted. As a result, the need for tissues in oxygen increases.

Against the background of this, wounds and scars gradually heal, the digestibility of the nutrient elements increases, regeneration begins.

Usually, if there was an operation to remove adenoids, a noticeable deterioration of well-being occurs, the person becomes prone to frequently manifested ARS, bronchitis and cold. The laser helps to improve blood circulation, which significantly increases the immune defense, performs a bacteriostatic effect, as a result of which the protective functions of the body are strengthened.

Indications for the procedure and contraindications

The appointment of this treatment, both in relation to children and adults, occurs at the first two stages of the development of the disease. A more severe condition and a strong increase in the number of lymphocytes can be corrected only by full or partial.

Absolutely shows the treatment of laser radiation of adenoids to the child, under the age of 3 years. Thus, there is a delay in relation to operational intervention, which reduces the risk of returning this state due to incomplete removal of almonds and re-applying the child's injury.

To contraindications for treatment include:

• pathological conditions of the circulatory system (lack of iron in the body);
• acute and chronic heart diseases;
• inflammatory process in the thyroid gland;
• tuberculosis in the active stage.

If nothing of the above-mentioned list of the patient has been detected, it can safely refer to laser and therapy.

Adenoid irradiation

For the treatment of adenoids, an intrainas method is usually used when a helium-neon laser is used. The duration of sessions should be selected by a doctor individually for each patient, focusing on the severity of the course of the disease. Typically, treatment takes place in 2 stages:

• the first is cleaned with inflammation, immunity cells restore, lead to a normal state of metabolic processes;
• the second stage of treatment is carried out in order to prevent possible recurrences.

Before proceeding to the procedure, the patient is made for complete removal of mucus and from the nasal sinuses. Then the special LED is placed in the nose for direct influence on inflamed areas, as a result of which treatment has a point and focused nature. Procedures are required every day and may apply to ten only at one stage.

Conducting the next course of treatment begins, a month after the completion of the previous one, and contains the same procedures in itself. If adenoids often exacerbate, in this case the doctor has already appoints for 3 or 4 courses, while no more than 5 courses of 15 procedures are taken separately safe for the body. Upon completion of the treatment with a laser, many doctors strongly advise making homeopathic drugs in order to protect themselves more from recurrence.

Rehabilitation after laser and therapy

As noted above, upon completion of treatment, it would be nice to continue drug therapy. It is recommended to follow certain rules for rapid recovery after treatment and prevent further increase in adenoids. After the treatment is completed for 10 days, one should not:

• walk to the bath, saunas;
• visit the pool;
• need to avoid excessive physical exertion;
• no hot and cold dishes, coarse and acidic food.

Upon completion of therapy, unnoticed side effects, and the complete restoration of nasal respiration is noted in all patients, which is a good indicator and so that this technique has become popular in pediatrics.

Adenoids are separated by 4 degrees due to their flow and features. The degree of the disease in the consequence determines the integrated, full treatment of adenoiditis in children in a compartment with a common picture.

0 degree. Pulp almond has compliance with normal physiological sizes,

1 degree. The growth of the pharyngeal almond leads to closing only the height of the nasal moves or the top of the coulter;

2 degree. Due to the increase in the pharyngeal almond, about 2/3 of the height of the nasal moves or 2/3 of the coulter is closed;

3 degree. The increase in pharyngeal almond leads to the closure of almost the entire couch.

Symptoms of adenoids

Frequent colds with a protracted runny nose.

Regular otitis.

Owl breathing accompanied by a snatch and snoring during sleep.

Worsening hearing

Symptoms of acute adenoiditis

Increase temperature (from 39 or more degrees),
There is a feeling of sadness and moderate pain arising from swallowing in the depths of the nose,
nasal congestion, runny nose,
Night parlor cough,
The swelling of the sky rear studies,
mucous-purulent discharge from nasopharynx,
headaches,
Pains arising behind the mild sky with their irradiation to the area of \u200b\u200bthe rear departments of the nasal cavity and to the ears.
The increase and soreness acquire submandibular and cervical rear lymph nodes.

In the absence of proper treatment of adenoids provoke the development of chronic larygitites, tracheites and bronchitis, as well as difficult to disappear reduction of hearing acuteness. That is why it is extremely important to identify and take control of the developing pathology. Full cycle Professional medical care when removing adenoids with a laser is available only in the Laughter's office!

Treatment of adenoids without surgery

The treatment of adenoiditis is shown not only with a minor growth of almonds. Adenoids are immune organ And it should be deleted only in extreme cases when local treatment does not have a proper effect, or the disease is running. In such cases, the removal of adenoids is assigned.
Including should not be eliminated by the fact that the operation is stress for the child. In addition, adenoids are an age-related disease. In adolescence and older - it is not observed in patients.

Procedures for the treatment of adenoids

Treatment of nasal cavities with thoroughbuilding drugs
Pulse washing of nasopharynx
Irrigation of the nasal cavity by anti-essay drugs.
Laser treatment.
Ufo therapy.
Vibroacoustic therapy.

Features of surgical removal of adenoid

It is the opinion that the operation will allow once and forever to get rid of adenoids, but this is not true. Even the microscopic portion of the affected fabric, left during the operation, is able to provoke relapse and repeated growth of adenoids. Operation is the fastest treatment of adenoids, but provided that it was done qualitatively. The procedure involves removing pharyngeal almonds under general or local anesthesia. A ring-shaped knife fabric is cut and removed from the nasopharynx. All manipulations last about 2-3 minutes. At the time of rehabilitation, patients are recommended to limit exercise, as well as not to use solid or hot food.
Contraindications for surgical intervention are considered:

Small age patient.

Weed immunity.

Flu epidemic.

The removal of adenoid does not cancel further treatment. Patients needed washing of nasopharynx, respiratory gymnastics, use of medicines that impede the peaks edema or apparent sinuses.